For sedation and analgesia management of mechanically ventilated critical care patients, put the following steps in the appropriate order in which the nurse should perform them
1 . Using an accepted pain scale, assess the patient's level of pain, and if the patient is hemodynamically stable, medicate appropriately with morphine sulfate.
2 . Assess the degree of agitation and anxiety with an appropriate sedation scale and select an appropriate medication treatment.
3 . Attempt nonpharmacologic treatments; optimize the environment.
4 . Reassess the level of sedation, agitation and anxiety, and pain minimally every 2 hours or as indicated per facility standards.
5 . Rule out and correct reversible causes.
6 . Assess the patient's level of comfort.
a. 1, 2, 6, 5, 3, 4 c. 6, 5, 3, 1, 2, 4
b. 6, 5, 1, 2, 3, 4 d. 4, 1, 2, 6, 5, 3
C
Pain and sedation scales should be used to accurately assess the patient's needs; adequate interventions should be applied and the patient frequently reassessed.
You might also like to view...
A 79-year-old female patient, admitted for hip replacement surgery, complained of insomnia the night before and was administered lorazepam, a benzodiazepine
She began displaying signs of delirium shortly thereafter, a situation that has persisted until the morning change of shift. Which of the following guidelines should the night nurse provide to the nurse coming on shift to care for the patient? A) "Make sure you get a sedative order from her doctor this morning.". B) "Try to keep her level of stimulation as low as you can when you are working with her.". C) "Make sure you let the family know that there are effective drug treatments that will resolve her delirium.". D) "Work with the discharge-planning nurse to help the family reassess her living arrangement after discharge.".
The nurse is completing a heritage assessment with an older patient from a non-English-speaking culture. Which question would not be a part of this assessment?
1. Where was your mother born? 2. Did you live in an extended family? 3. Where did your father go to school? 4. Do you belong to a religious institution?
A 36-year-old patient with rheumatoid arthritis is prescribed methotrexate. What should the nurse include when teaching the patient about this medication?
Select all that apply. 1. Avoid alcohol. 2. Avoid exposure to sunlight. 3. Use effective contraception. 4. Expect the skin to turn orange. 5. Have routine eye examinations.
After jogging 5 miles, a young woman's cardiac output:
A) Decreases. B) Increases. C) Decreases first, then increases. D) Does not change.